Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02187 | Date 07/07/2022 |
| Token No | SM/22-23/1210 07/07/2022 | Serial | 032 |
| Patient Name | Mrs. BABY ROY | Contact No | 6291700283 |
| Address | SANIPARA LANE SERAMPORE HOOGHLY 712203 | Age | 28 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||